| NPI | 1144435918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WALKER Dentist 813-689-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN11892) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2015-10-12 |